Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | MD60391959 | WA |
Y | 207RP1001X | Pulmonary Disease | MD60391959 | WA |
NPI | 1003105917 |
---|---|
Provider Name | Dr. Vinay Gupta |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 03/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003105917 | (05) | WA |